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OON Mandate Arbitration Analyst

Horizon Blue Cross Blue Shield of New Jersey · Newark, New Jersey, US

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solution...

Job description

Horizon Blue Cross Blue Shield of New Jersey empowers our members to achieve their best health. For over 90 years , we have been New Jersey’s health solutions leader driving innovations that improve health care quality, affordability, and member experience. Our members are our neighbors, our friends, and our families. It is this understanding that drives us to better serve and care for the 3.5 million people who place their trust in us. We pride ourselves on our best-in-class employees and strive to maintain an innovative and inclusive environment that allows them to thrive. When our employees bring their best and succeed, the Company succeeds. About the Role: The Out of Network (OON) Mandate Arbitration Analyst will be responsible for researching, investigating and coordinating of document collections as well as preparing a summary of information related to Executive/Regulatory complaints, litigation, legal requests and other inquiries received related to the No Surprises Act (NSA). The OON Mandate Analyst will need to work with a variety of internal departments to prepare fulsome analysis for the assigned Paralegal (including outside counsel) and Executive/Regulatory team members...